Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
NORTH SHORE INTERNAL MEDICINE ASSOCIATES, P.C.
Active
Organization
NORTH SHORE INTERNAL MEDICINE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE BLOOM-GOLDSTEIN (BILLING COORDINATOR)
(516) 482-0600
Entity
Organization
Contact information
Practice address
560 NORTHERN BLVD, SUITE 203, GREAT NECK, NY 11021-5100
(516) 482-0600
(516) 829-9674
Mailing address
560 NORTHERN BLVD, SUITE 203, GREAT NECK, NY 11021-5100
(516) 482-0600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NY
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
10/23/2006
Last updated
12/03/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up